NPIMap

Organization Active NPI

Center for Health Psychology, PC

Doing business as ActionCare Pain Management

  • Psychologist
  • El Paso, TX
National Provider Identifier
1073714838
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
24316 Issued in TX
Legal business name
CENTER FOR HEALTH PSYCHOLOGY, PC
Doing business as
ActionCare Pain Management
Practice address
10450 Brian Mooney Ave
El Paso, TX 79935
Phone
(915) 598-6616
Fax
(915) 598-6651
NPI assigned
May 30, 2007
Last updated
May 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dwayne D Marrott, PHDNPI 1730290065
Title
Psychologist/ President
Phone
(915) 598-6616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 24316 TX Primary

Addresses

Primary practice location

10450 Brian Mooney Ave
El Paso, TX 79935

Mailing address

PO Box 370838
El Paso, TX 79937
Phone (915) 598-6616

Other identifiers 2

IdentifierTypeStateIssuer
034403801MedicaidTX
8F22682OtherTXMEDICARE

Other names 1

  • ActionCare Pain Management Doing business as

National Provider Directory

National Provider Directory

Locations

10450 Brian Mooney Ave
El Paso, TX 79935
Phone (915) 598-6616

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1073714838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370838",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79937",
            "telephone_number": "915-598-6616",
            "fax_number": "915-598-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 BRIAN MOONEY AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79935",
            "telephone_number": "915-598-6616",
            "fax_number": "915-598-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HEALTH PSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "MARROTT",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOLOGIST/ PRESIDENT",
        "authorized_official_telephone_number": "915-598-6616",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034403801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8F22682",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActionCare Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.